Assessment Tool: JHFRAT

Rate each of the seven domains based on the patient's current status. Implement the appropriate fall-prevention protocol based on the total score. Reassess with any change in condition, after a fall, or per institutional policy.

Johns Hopkins Fall Risk Assessment Tool (JHFRAT)

A seven-domain validated fall risk screen for adult inpatients. Developed at Johns Hopkins Hospital. Score 0–5 = Low risk; 6–13 = Moderate risk; ≥ 14 = High risk.

Risk thresholds

0–5

Low risk

6–13

Moderate risk

≥ 14

High risk

High-risk medications include: antiseizure drugs, benzodiazepines, diuretics, narcotics/opioids, sedatives/hypnotics, psychotropics/antipsychotics.
Patient care equipment includes: IV lines, catheters, chest tubes, surgical drains, supplemental oxygen devices, continuous monitoring leads.

1. Age

Under 60 (0) 60–69 (1) 70–79 (2) ≥ 80 (3)

2. Fall History (past 6 months)

No falls in the past 6 months (0) 1 fall in the past 6 months (5) 2 or more falls in the past 6 months (10)

3. Elimination

No incontinence, urgency, or frequency (0) Urgency or urinary frequency (2) Urge or stress incontinence (2) Urgency/frequency + incontinence (4)

4. High-Risk Medications

None of the following (0) On 1 high-risk medication (3) On 2 or more high-risk medications (5)

5. Patient Care Equipment

None (0) 1 piece of equipment (1) 2 pieces of equipment (2) 3 or more pieces of equipment (3)

6. Mobility

Ambulatory / independent (0) Uses assistive device (cane, walker, etc.) (2) Unsteady / unsafe gait (2) Requires physical assistance of one person (4) Non-ambulatory / complete bed rest (0)

7. Cognition

Oriented to own ability (0) Overestimates ability or forgets limitations (2) Intermittently confused or disoriented (4)

Result

JHFRAT Score: 0

Risk level:

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